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All-Terrain Vehicle (ATV) Injuries, 2017 (pdf)

The Consumer Product Safety Commission has issued its annual report of injuries and deaths from ATVs. Injuries brought 93,800 people to the ER in 2017, with 26% of them (24,000 kids) under age 16. Injuries have declined by more than 1/3 since 2007. In 2016 there were an estimated 531 ATV deaths, but reporting is preliminary and still ongoing. Report released February 2019

CDC Injury Facts – CDC Injury Center

Traumatic brain injury/concussion (2.5 million TBI-related ER visits each year), prescription drug overdose (opioids killing 47,600 people in 2017), falls, mass casualties, alcohol-related injuries, distracted driving injuries, teen drivers and car accidents, fires and burn injuries, motor vehicle crashes, poisoning, suicide, and violence, and prevention opportunities and more

Concussion: Signs and Symptoms (CDC)

CDC discusses signs of concussions in four areas: Thinking/Remembering, Physical symptoms, Emotional/Mood signs, and Sleep changes. Includes danger signs in adults and children. Updated 2019

Fractures and Broken Bones (MedlinePlus)

The MedlinePlus site on fractures and broken bones is ad-free. Information includes bone scans and low bone density, hand, wrist, stress fractures, greenstick fractures, avulsion fractures, definition of closed reduction and more

Traumatic Brain Injury (TBI) Statistics

CDC estimates 2.9 million traumatic brain injury and concussion ER visits, hospitalizations or deaths occur each year; most are treated in the ER and released. In 2014, falls were the leading cause of TBI. Falls accounted for 48% of all TBI-related ED visits, hospitalizations, and deaths in the US. A lot of useful information, except for information about healthcare costs.

Truth about ER Visits: 2016 Data from CDC

CDC’s 2016 National Hospital Ambulatory Medical Care Survey reveals the median waiting time to see a physician or other provider in the Emergency Dept. was 17 minutes (see Table 4), a minute shorter than the previous year. Most patients (56%) spent between one and four hours in the Emergency Room (ER). About 58% arrived outside of the M-F 8a to 5p hours. More than half (57%) of ER patients were triaged as semiurgent or urgent when they arrived. (However, when billed at discharge or admitted to the hospital, the overwhelming majority of ER visits are likely to be billed as at least a moderate to high severity. Data not shown in this report.) Percent admitted or transferred to another hospital (including observation stays): 13.5%. Main reasons for an ER visit: stomach and abdominal pain, cramps or spasms; chest pain and fever. Cough and headaches also were common. Of the 45 million injury-related (or poisoning or adverse effects) visits, 23% were for falls – 2.8 times the rate of motor vehicle traffic-related injuries seen in Emergency Rooms. 2017 and 2018 ER information not yet available. Click on NHAMCS Emergency Department Summary Tables

Other Helpful Listings

Calendar for Safety

Safety topics from the National Safety Council, are organized by season. Check out Agricultural Safety during planting and harvest seasons, or the other categories: Healthy Living (includes Halloween safety), Environment, On the Road (including Cell phone safety, Distracted Driving), and School Bus Safety

Colorado 2018 Hospital Charges and 2017 Insurance Payments

Find average 2018 cost across CO for more than 50 types of hospitalizations. Click on View Reimbursement by Diagnosis or Insurance Provider to see average total charge in 2017, and what the insurance company reimbursement was. While the patient’s responsibility is not shown, we appreciate the transparency between prices and amounts paid. Example: Major joint replacement without complications priced at $78,874 had an average insurance payment of $26,588, or about 1/3 of the charges. Uncomplicated delivery was priced at $16,500 in 2017 (17,545 in 2018), with insurance companies paying $7347 in 2017. Similar for newborns – $5171 average price, insurance paid $2341. Insurance company payments appeared to go down in 2017, while charges went up. Consumers are also able to see actual hospital prices (Click View Hospital Charges, then select year 2018 and procedure). Example: Average 2018 price for major joint replacement at hospitals that performed at least 100 procedures, ranged from $13,941 in Meeker (Pioneers Medical Center), to $131,513 at Sky Ridge Medical Center in Lone Tree (nearly 10 times higher; midrange 208 price across hospitals was about $79,000.  Physician charges are not included. Published by the State Department of Regulatory Agencies, Division of Insurance, and Colorado Hospital Association. Updated 2019.

Colorado Hospital Quality Ratings, Report Card

Click on Hospital Quality Report at the Report Card Website by the Colorado Hospital Association. See hospital-specific data on mortality (survival rates) and volume. Mortality Measures show survival rate information for heart care (heart failure, heart attack AMI), pneumonia, stroke, hip fracture, or bleeding stomach (GI). Compare CO hospitals on Patient Safety bedsores (pressure sores/ decubitus ulcer), post-surgical blood clots (DVT, PE), sepsis (bloodstream infections) and falls. Volumes and infections for six procedures (hysterectomy, breast surgery, colon surgery, cardiac bypass CABG, hip or knee replacement). 2017 data, all patients. Nurse staffing information also provided. Consumers may need to use the Chrome browser only, to see the hospital information. cohospitalquality.org

Consumer Guide to Prevention – USPSTF Recommendations Editor's Pick

Recommendations from the US Preventive Services Task Force (USPSTF) for more than 100 Screening tests, Preventive Medication, and Counseling activities. Individual Consumer Guides for all different types of cancer, obesity, high blood pressure, speech and language disorders, hearing loss, chronic kidney disease, depression, diabetes, abdominal aortic aneurysm, sexually transmitted disease, osteoporosis, and much more. Counseling for alcohol misuse, diet and physical activity. Updated 2019. the USPSTF is an independent, volunteer panel of national experts in prevention and evidence-based medicine. Updated 2019

Massachusetts – Serious Reportable Events in Hospitals and Ambulatory Surgery Centers, 2018

Massachusetts 2018 Serious Reportable Events shows surgical mistakes, pressure ulcers (bedsores), or serious injury or death after a fall or medication error, and other mishaps in MA acute care hospitals, non-acute hospitals and ambulatory surgery centers. Wrong site surgery (e.g. operating on the wrong body part) or wrong surgery occurred during 2018 at Massachusetts General Hospital, Boston Eye Surgery & Laser Center-West, Cataract & Laser Center Associates and North Shore, East Bay Surgery Center, Beth Israel Deaconess (Plymouth, Milton and East), Boston Children’s, Brigham & Women’s Faulkner, Brigham & Women’s Hospital, Cape Cod Hospital, Fairview, Harrington Memorial, Holy Family, Lahey Clinic, Lawrence General, Lowell General Hospital, Mass Eye & Ear Infirmary, Mercy Medical Center Campus, Newton-Wellesley Hospital, Southcoast Hospital Group (Charlton and St. Luke’s) and St. Vincent Hospital. Of the 171 Stage 3 & 4 pressure ulcers on acute care patients in 2018, 130 occurred at Brigham & Women’s Hospital. In non-acute hospitals, more than half of the reportable events were serious injury or death after a fall. Hebrew Rehabilitation Center reported 32 serious falls. Excel files only; PDF no longer available. From Mass.gov Health and Human Services

Minnesota – Adverse Health Events in MN Hospitals & Ambulatory Surgery Ctrs 2018

Report of 384 adverse health events required to be reported by Minn. law, that occurred in hospitals, ambulatory surgery centers and behavioral health hospitals. These [Never Events] such as falls or pressure ulcers (bedsores) that resulted in a patient’s death or serious injury, or a foreign object left in during surgery, or operating on the wrong patient or wrong body part, were reported between October 2017 and Oct. 2018. There were 118 serious injuries and 11 deaths. View facility-specific data in the 109-pg pdf (near end of the report). Adverse Events in the 2019 report came from about 77 hospitals or ambulatory surgery centers. Report by MN Department of Health March 2019

Oklahoma – Average Hospital Inpatient Charges

Find the average charge (closest available to inpatient cost) for a Oklahoma hospital stay (compare OK hospital prices) by Principal Diagnosis (i.e., disease) or DRG. Example we found was the average commercial price in Oklahoma for mood disorders (mental health) was $13,280 in 2016, with an average length of stay of 6.2 days. Similarly, a major joint replacement (e.g. knee or hip replacement) without complications averaged about $51,000 for commercial insurance patients. Average stay in the hospital was 2.4 days. Statewide or county-specific statistics on volume and average length of stay also found in this dataset. May specify data for a certain age group and sex. Geared to researchers and health care professionals, rather than for consumers. If this website was meant for consumers, it would get the User-Unfriendly Award due to its complicated diagnosis choice sections. 2016 data are the most recent available from OK2SHARE by the OK State Dept. of Health’s Health Care Information

Vermont – Hospital Outpatient Surgery Prices, 2017 (pdf)

What does ambulatory surgery cost in in Vermont? See Section called Pricing, Charges by Hospital. Table 2A lets you compare average gross charge (the closest you will get to average cost) for most common outpatient surgical procedures at 14 general hospitals in VT. Prices for procedures such as cataract surgery (average $6074), upper GI endoscopy ($5420), knee cartilage surgery ($9520 average), arthrocentesis joint aspiration ($700), gall bladder removal (average $13,484), breast biopsy (avg. $4213), other biopsies, ear tubes (average $3530), tonsillectomy ($6948), pacemaker ($9254), bunion removal (12,114 avg), colonoscopy $3694 average; range $1575 at Northwestern Medical Center to $5169 at North Country Hospital; hernia repair $12,000; excision of skin lesion $2417; fetal monitoring cost $784; circumcision cost $4239; outpatient hysterectomy $21,995; peritoneal dialysis ($10,575), and many more procedures. 12-month avg. charges ending Sept. 30, 2017, DO NOT include the surgeon or other physician fees. As with all of Vermont’s reports, the font size is about as small as you can get. About two years old, published 2019. Table 2B shows how many of those procedures the hospital did.

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